Intramedullary Spinal Tumour Surgery Package
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Written & reviewed by Vikram Kashyap, Medical Consultant, Satyug Healthcare
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| Surgery Name | Cost | Room | Hospitalization |
|---|---|---|---|
| Intramedullary Spinal Tumour Surgery Package | $6380 | Single | Patient - 7 days stay in a single room. |
✓ Inclusion
- ✔Consultation with senior neurosurgeon
- ✔Pre-operative blood tests, ECG and anaesthesia check
- ✔Microsurgical removal of intramedullary spinal tumour (laminectomy / laminoplasty)
- ✔Intraoperative neuromonitoring (SSEP / MEP)
- ✔Surgeon and anaesthetist fees
- ✔Operation theatre, operating microscope and ultrasonic aspirator charges
- ✔ICU / HDU care as per package
- ✔7-day stay in a single room
- ✔Nursing care, routine medicines and patient meals during stay
- ✔Histopathology of the tumour
- ✔Inpatient physiotherapy
- ✔Free: airport pick-up & drop, visa invitation letter, interpreter & coordinator (Satyug Healthcare)
✗ Exclusion
- ✖International flights, visa fees and hotel stay
- ✖MRI scans done in India
- ✖Spinal fixation implants (screws, rods) if needed
- ✖Radiotherapy, chemotherapy or targeted therapy
- ✖Extra ICU or hospital days beyond package
- ✖Outpatient rehabilitation after discharge
- ✖Special stains / molecular tests on biopsy
- ✖Treatment of complications or unrelated illness
- ✖Attendant food and personal expenses
Know More About Procedure & Surgery
🇮🇳 NEUROSURGERY PACKAGE — INDIA
Intramedullary Spinal Cord Tumour Surgery in India
Microsurgical removal of tumours growing inside the spinal cord, such as ependymoma, astrocytoma and hemangioblastoma, by experienced neurosurgeons using nerve monitoring at NABH and JCI accredited hospitals in India – at a fraction of Western costs.
✅ Free Medical Opinion in 48–72 h⚡ Intraoperative neuromonitoring💰 Starting USD 6,380✈️ Visa & Airport Support🗣️ Interpreter Available
⏱️
4–8 hrs
Surgery time
🏥
7 days
Hospital stay (single room)
📈
70–90%
Ependymoma full removal
📅
3–4 weeks
Total stay in India
📖 What is an Intramedullary Spinal Cord Tumour?
The spinal cord is the bundle of nerves running inside the backbone. It carries messages between the brain and the body. An intramedullary tumour is a growth that starts inside the spinal cord itself. These tumours are rare (about 2–4% of all central nervous system tumours). The most common types in adults are ependymoma and astrocytoma, followed by hemangioblastoma. Most grow slowly, but as they enlarge they press on nerve fibres and cause pain, numbness, weakness and bladder problems.
Intramedullary spinal tumour surgery removes the tumour through the back of the spine. The surgeon removes part of the back bones (laminectomy or laminoplasty), opens the covering of the cord (dura), makes a fine cut in the middle of the cord (myelotomy) and removes the tumour under a high-powered microscope. Nerve monitoring is used throughout to protect movement and feeling. The goal is the safest maximum removal, which is often curative for ependymoma and hemangioblastoma.
🖼️ Understand It in Pictures
💡 In simple words
An intramedullary tumour is a growth inside the spinal cord itself, the main nerve cable that carries messages between brain and body. As it grows it can cause pain, numbness and weakness. Surgery uses a microscope and nerve monitoring to remove as much of the tumour as is safe.
Normal spinal cord vs tumour pressing nerves
👀 Symptoms in Pictures
🩻 Scans & Tests — What Doctors See
🎬 The Treatment Journey in Pictures
📅 Recovery at a Glance
Drawings: Satyug Healthcare (simplified, not to scale). Photos: Wikimedia Commons; author and licence under each photo.
🩺 Conditions Treated
🎯
Ependymoma
Most common adult intramedullary tumour. Often has a clear border, so complete removal is possible in most cases.
🧬
Astrocytoma
More common in children. Grows into the cord, so a safe partial removal plus radiotherapy may be needed.
🩸
Hemangioblastoma
Blood-vessel tumour, sometimes linked to von Hippel-Lindau disease. Usually removed completely.
🫧
Cavernoma (cavernous malformation)
Cluster of abnormal blood vessels that can bleed; removed if causing symptoms.
🌀
Myxopapillary ependymoma
Tumour at the lower end of the cord (conus / filum).
🔍
Lipoma, metastasis and others
Rare tumours inside the cord; treatment is planned case by case.
⚠️ Symptoms That May Need Treatment
- ➤Back or neck pain, often worse at night
- ➤Numbness, tingling or burning in arms or legs
- ➤Weakness of legs or arms
- ➤Difficulty walking or loss of balance
- ➤Clumsiness of hands
- ➤Bladder or bowel problems
- ➤Muscle stiffness or spasms
- ➤Curving of the spine (scoliosis) in children
💡 Small tumours with no symptoms, or some cavernomas and lipomas, may be watched with regular MRI scans. Very diffuse high-grade tumours may be better treated with biopsy followed by radiotherapy and chemotherapy rather than aggressive removal.
🔬 Tests Before Treatment
| Test | Why it is done |
|---|---|
| MRI of the spine with contrast | Shows the tumour size, position, cyst and swelling of the cord |
| MRI of brain and whole spine | Checks for spread or other tumours (e.g. in VHL disease) |
| Neurological examination | Records strength, feeling and reflexes before surgery |
| Urodynamic study (if needed) | Assesses bladder function |
| Spinal angiogram (selected cases) | Maps blood vessels for hemangioblastoma |
| Blood tests, ECG, chest X-ray | Fitness for anaesthesia |
🏥 The Procedure — Step by Step
1
Admission and review
Neurosurgeon reviews MRI and examines you; anaesthesia check.
2
Anaesthesia and monitoring
General anaesthesia; nerve monitoring electrodes (SSEP, MEP, D-wave) are placed.
3
Positioning
You lie face-down; the exact level is confirmed with X-ray.
4
Laminectomy / laminoplasty
Back part of the vertebrae is removed or hinged open to reach the cord.
5
Opening the dura
The cord covering is opened under the microscope.
6
Myelotomy
A fine cut is made in the middle line of the cord to reach the tumour.
7
Tumour removal
Tumour is removed piece by piece with micro-instruments and ultrasonic aspirator while signals are monitored.
8
Closure
Dura is sealed watertight; bones are replaced (laminoplasty) or fused if needed.
9
ICU care
1–2 days in ICU or high-dependency unit for close nerve checks.
10
Rehabilitation and discharge
Physiotherapy from day 2–3; discharge on day 7 with histology plan.
⚖️ Types & Techniques
| Option | What is done | Best for |
|---|---|---|
| Gross total resection | Complete microsurgical removal | Ependymoma, hemangioblastoma with clear borders |
| Subtotal resection / debulking | Safe partial removal to relieve pressure | Infiltrating astrocytoma |
| Biopsy only | Small sample to confirm diagnosis | Diffuse or high-grade tumours |
| Radiotherapy | Focused radiation after surgery | Residual or high-grade tumours |
| Chemotherapy / targeted therapy | Medicines after surgery | High-grade gliomas, selected children; belzutifan for VHL |
📊 Published surgical series report gross total resection in about 70–90% of spinal cord ependymomas, with 5-year progression-free survival above 85–90% after complete removal; long-term function depends mostly on how well the patient walked before surgery.
📅 Your Day-by-Day Plan in India
| Day | What happens |
|---|---|
| Day 1 | Arrival in India, airport pick-up, neurosurgeon consultation |
| Day 2 | MRI review / repeat MRI, tests and admission |
| Day 3 | Spinal cord tumour surgery |
| Day 4–5 | ICU / HDU monitoring; start sitting up |
| Day 6–8 | Ward care, physiotherapy, walking practice; discharge on day 8 (7-day stay) |
| Day 9–20 | Hotel stay, outpatient physiotherapy, wound check, biopsy report |
| Day 18–21 | Post-operative MRI if advised, oncology opinion if needed |
| Day 21–28 | Fly home ✈️ with rehabilitation plan |
🌱 Recovery After Treatment
🛏️
Week 1
Pain at the wound, temporary numbness or weakness is common. Walking with support starts.
🚶
Week 2–3
Daily physiotherapy. Most temporary sensory changes start to improve.
🧘
Week 4–6
Avoid lifting, bending and twisting. Gradual increase in walking.
💼
Month 2–3
Return to desk work for many patients. Continue rehab.
📈
Month 3–6
Further nerve recovery; strength and balance improve.
🩻
Every 6–12 months
Follow-up MRI scans for several years to check for regrowth.
🏆 Success Rate
| Outcome | Result |
|---|---|
| Complete removal of ependymoma | About 70–90% |
| 5-year control after complete ependymoma removal | About 85–95% |
| Hemangioblastoma complete removal | Over 90% |
| Function same or better long-term | About 70–80% |
| Temporary worsening of sensation after surgery | Common (30–50%), mostly improves |
The biggest factor is how well you walk and function before surgery – patients operated on early, with mild symptoms, recover best. Tumour type, borders and experience of the surgical team also matter.
🩹 Risks & Possible Complications
Spinal cord surgery is delicate and carries important risks:
- •Temporary numbness or weakness after surgery – common, usually improves over weeks to months
- •Permanent new weakness or sensory loss – about 5–15%
- •Bladder or bowel problems
- •Spinal fluid leak from the wound – about 3–10%
- •Wound infection – about 2–5%
- •Spinal deformity (kyphosis) later, especially in children
- •Tumour regrowth needing further treatment
💰 Cost of Spinal Cord Tumour Surgery in India
The cost of intramedullary spinal tumour surgery in India starts from about USD 6,380. This package covers surgery, neuromonitoring, ICU care and a 7-day stay in a single room. Cost can rise with longer ICU stay, fusion implants, radiotherapy or additional rehabilitation.
| Option / Hospital tier | Approx. cost (USD) | Hospital stay | Notes |
|---|---|---|---|
| Intramedullary spinal tumour surgery package (this package) | 6,380 | 7 days, single room | Microsurgery with neuromonitoring |
| Extramedullary tumour (meningioma / schwannoma) | 5,000 – 7,000 | 5–7 days | Tumour outside the cord |
| Spinal tumour surgery with fixation | 7,500 – 10,000 | 7–10 days | When stability needs screws and rods |
| Post-operative radiotherapy (IMRT) | 3,000 – 5,000 | Outpatient, 5–6 weeks | Only if residual or high-grade tumour |
| Premium hospital / senior consultant | 8,000 – 11,000 | 7 days | Metro flagship centres |
⚠️ Final cost depends on tumour size and level, need for fixation, ICU days, histology and further treatment. Quotes are confirmed after the neurosurgeon examines the patient and MRI in India.
📋 What the Package Includes
✅ Included
- ✔Neurosurgeon and anaesthetist fees
- ✔Operation theatre, microscope and ultrasonic aspirator
- ✔Intraoperative neuromonitoring
- ✔ICU / HDU care as per package
- ✔7-day single room stay
- ✔Standard medicines and consumables
- ✔Inpatient physiotherapy
- ✔Histopathology of the tumour
❌ Not Included
- ✖Flights, visa and hotel
- ✖MRI scans in India
- ✖Spinal fixation implants if needed
- ✖Radiotherapy or chemotherapy
- ✖Extra ICU or hospital days
- ✖Outpatient rehabilitation
- ✖Treatment of complications
- ✖Personal expenses
✈️ Your Medical Travel Process with Satyug Healthcare
| Step | Details |
|---|---|
| 1. Send reports | MRI of the spine with contrast (images and report), MRI brain if done, neurological examination notes, previous biopsy or surgery reports and a short description of symptoms (walking, bladder control). |
| 2. Free opinion & quotes | Within 48-72 hours you receive opinions and cost estimates from 3-5 leading hospitals to compare. |
| 3. Choose hospital & doctor | We help you compare doctors, success rates, room options and total budget. |
| 4. Medical visa | The hospital issues a Visa Invitation Letter (VIL) to the Indian Embassy. The patient and up to 2 attendants apply for an e-Medical / Medical Attendant visa. |
| 5. Travel planning | Flight guidance, wheelchair assistance, airport pick-up, hotel or guest house near the hospital. |
| 6. Treatment in India | Your coordinator and interpreter stay with you for admission, treatment, discharge and billing. |
| 7. Return & follow-up | Fit-to-fly letter, medicines, and online follow-up with your doctor after you return home. |
🎒 Travel Checklist
- 📌Valid passport (6+ months) for the patient and attendants, plus 10 passport-size photos each
- 📌Medical visa / e-visa and the hospital’s Visa Invitation Letter
- 📌All spine MRI scans on CD / link, neurology notes and prescriptions
- 📌Yellow fever vaccination certificate (mandatory for travellers from African countries)
- 📌Polio vaccination certificate where applicable
- 📌Declare cash above USD 5,000 at the airport; hospitals accept wire transfer and cards
- 📌Foreigners staying longer than permitted must register with the FRRO — our team assists
⭐ Why Choose Satyug Healthcare?
🏥
Top Accredited Hospitals
Leading neuro-spine centres such as Medanta Gurugram, Max Saket, Fortis Memorial Gurugram, Artemis, Indian Spinal Injuries Centre, Apollo Delhi and Chennai, Manipal Bengaluru and Kokilaben Mumbai have advanced neuromonitoring and microscope set-ups.
👨⚕️
Senior Specialists
Your surgery is done by senior neurosurgeons and spine surgeons (MCh Neurosurgery) experienced in microsurgery of the spinal cord.
💵
Transparent Pricing
Multiple written quotes to compare — no hidden charges, no extra fee for our service.
🤝
End-to-End Support
Visa, airport pick-up, accommodation, interpreter and 24/7 coordinator.
❓ Frequently Asked Questions
➤ How much does intramedullary spinal tumour surgery cost in India?
The package starts from about USD 6,380 including surgery, neuromonitoring, ICU and a 7-day single room stay. Fixation, extra ICU days or radiotherapy cost extra.
➤ How long do I need to stay in India?
Usually 3–4 weeks: 7 days in hospital and 2–3 weeks for rehabilitation, wound check and the biopsy report.
➤ Is the tumour cancer?
Most intramedullary tumours are low-grade (slow growing). The final type is known from the biopsy report after surgery, usually in 5–7 days.
➤ Can the tumour be removed completely?
Ependymomas and hemangioblastomas can be removed completely in most cases (about 70–90%). Astrocytomas grow into the cord, so often only a safe partial removal is possible.
➤ Will I be paralysed after surgery?
The risk of permanent new weakness is about 5–15%. Many patients have temporary numbness or weakness that improves. Nerve monitoring helps the surgeon protect function.
➤ Why is early surgery important?
Results are best when patients are still walking well. Function lost before surgery may not fully return.
➤ Is the surgery painful?
Pain at the wound for 1–2 weeks is normal and is controlled with medicines. Some patients have burning sensations that improve with time and medicine.
➤ Will I need radiotherapy?
Only if part of the tumour remains or it is high-grade. Many ependymomas need no further treatment after complete removal.
➤ How long is recovery?
Most patients walk within a few days. Recovery of nerves continues for 6–12 months with physiotherapy.
➤ When can I return to work?
Desk work in about 2–3 months; physical work may take longer, depending on recovery.
➤ Is this surgery done in children?
Yes. Paediatric neurosurgeons treat children; laminoplasty is preferred to reduce later spine curvature.
➤ How often do I need MRI after surgery?
Usually at 3 months, then every 6–12 months for several years, as the doctor advises.
➤ Can my family come with me?
Yes. Up to two attendants can get a medical attendant visa. Satyug sends the invitation letter.
💬 Get a Free Opinion & Cost Estimate
Send your medical reports today and receive opinions from India’s top specialists within 48-72 hours.
📞 +91-8860606766 | +91-9910655125 | ✉️ query@satyughealthcare.com
Medical disclaimer: This page is for general information and does not replace a consultation with a qualified specialist. Treatment plans and costs are confirmed only after the patient is examined. Sources: NCBI StatPearls: Spinal Cord Tumors; NCBI StatPearls: Spinal Ependymoma; AANS: Spinal Tumors; Mayo Clinic: Spinal cord tumor; Cleveland Clinic: Spinal Cord Tumors; published series in Journal of Neurosurgery: Spine. Infographics: Satyug Healthcare.
Frequently Asked Questions
Recovery depends on the tumour and your condition before surgery. Most patients spend about a week in hospital, followed by weeks to months of rehabilitation. Some weakness or numbness may be temporarily worse after surgery and then improve gradually; nerve function can keep improving for a year or more.
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Intramedullary spinal cord tumour surgery in India from USD 6,380. Microsurgery with neuromonitoring, 7-day stay, expert neurosurgeons, free opinion & visa help.
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